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Summary of Significant Accounting Policies (Tables)
6 Months Ended
Jun. 30, 2021
Accounting Policies [Abstract]  
Schedule of Changes in Allowance for Doubtful Accounts
The following table presents the changes in the allowance for doubtful accounts (in thousands):
Six Months Ended June 30, 2021Year Ended December 31,
2020
Six Months Ended June 30, 2020
Balance, beginning of period$12,711 $9,049 $9,049 
Add: provision for doubtful accounts3,703 10,515 5,957 
Add: adoption of ASC 326
— 461 461 
Less: write-offs, net of recoveries and other adjustments(4,491)(7,314)(4,202)
Balance, end of period$11,923 $12,711 $11,265 
Schedule of Changes in Contractual Allowance
The following table presents the changes in the contractual allowance (in thousands):
Six Months Ended June 30, 2021Year Ended December 31,
2020
Six Months Ended June 30, 2020
Balance, beginning of period$21,281 $15,433 $15,433 
Add: provision for contractual allowances10,477 20,916 7,567 
Less: realized contractual adjustments(6,450)(15,068)(7,245)
Balance, end of period$25,308 $21,281 $15,755 
Disaggregated Revenue by Payor Type and Major Service Disaggregated revenue by payor type and major service line for three and six months ended June 30, 2021 and June 30, 2020 were as follows (in thousands):
Three Months Ended June 30,Six Months Ended June 30,
2021202020212020
Contracted third-party payors $49,633 $26,544 $96,225 $58,254 
Non-contracted third-party payors6,547 2,868 11,825 6,244 
Centers for Medicare & Medicaid10,989 13,718 21,166 31,034 
Healthcare Institutions14,109 7,748 26,373 18,881 
Total$81,278 $50,878 $155,589 $114,413